Individual
BILLY BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10101 MABELVALE PLAZA DR, LITTLE ROCK, AR 72209-5927
(501) 565-3509
Mailing address
10101 MABELVALE PLAZA DR, LITTLE ROCK, AR 72209-5927
(501) 565-3509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3343
AR
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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